Main Drugs Used Flashcards
Adrenaline
indications
Croup (with stridor at rest)
Severe or life threatening bronchospasm (speaking in single words/ALOC/haemodynamic compromise)
Cardiac arrest
Anaphylaxis or severe allergic reaction
Bradycardia with poor perfusion (unresponsive to atropine or TCP)
Shock unresponsive to adequate fluid resus
Adrenaline
contraindications
Nil
Adrenaline
precautions
Current MAOI therapy
Hypertension
Hypovolaemic shock
Adrenaline
side effects
Tremors Anxiety Palpitations/Tachycardia Hypertension Pupil dilation
Adrenaline
Dosage for cardiac arrest
IV (ACP, CCP)
1mg every 3-5 minutes
No max dose
IO (CCP)
1mg every 3-5 minutes
No max dose
Adrenaline
Dosages for anaphylaxis or severe allergic reaction
IM (ACP1, ACP2, CCP) 300 mcg, repeat at 5 min No max dose NEB (ACP2, CCP) - for facial or tongue swelling 5mg single dose IV/IO (CCP) 20-50 mcg, repeat at 1 min intervals No max dose
Adrenaline
Dosages for severe to life threatening bronchospasm
IM (ACP1, ACP2, CCP) 300 mcg every 5 min No max IV/IO (CCP) 20-50 mcg every 1 min No max
Aspirin
Indications
Suspected ACS
Acute cardiogenic pulmonary oedema
Aspirin
Precautions
Use of other anticoagulants (e.g. Warfarin)
Hx of GI bleed or peptic ulcer
Aortic aneurysm or other condition that may require surgery
Pregnancy
Aspirin
Side effects
GI bleed Epigastric discomfort/pain Nausea/vomiting Gastritis NSAID induced bronchospasm
Aspirin
Dosages
PO (ACP1, ACP2, CCP)
300mg single dose
Max dose 450mg
Aspirin
Onset, duration and half-life
Onset: approx 10 min
Duration: 1 week
Half life: 3.2 hours
Ceftriaxone
Indications
Suspected meningococcal septicaemia (with non blanching petechia and/or purpuric rash)
Ceftriaxone
Containdications
KSAR or hypersensitivity
Known anaphylaxis or severe allergic reaction to penicillin based drugs
Ceftriaxone
Precautions
Nil
Ceftriaxone
Side effects
Nausea/vomiting
Pain at IM injection site
Ceftriaxone
Adult dosages
IM (ACP1, ACP2, CCP)
1g single dose
Syringe preparation - reconstitute in 3.6mL of water in 10mL syringe
IV (ACP2, CCP) IO (CCP)
1g single dose - Slow push over 3-5 minutes
Syringe preparation - reconstitute in 10mL of water in 10mL syringe
Fentanyl
Indications
Significant pain Autonomic dysreflexia (SBP >/= 160mmHg) Sedation for maintenance of established LMA or ETT
Fentanyl
Contraindications
KSAR or hypersensitivity
Fentanyl
Precautions
Elderly Hypotensive Concurrent MAOI therapy Respiratory tract burns Respiratory depression/failure Known narcotic addiction
Fentanyl
Side effects
Pinpoint pupils Nausea/vomiting Bradycardia Hypotension Drowsiness Respiratory depression
(Not morphine) muscular rigidity - especially respiratory muscles
Fentanyl
Onset, duration, half-life
Onset: (IV)
Fentanyl
Dosages for significant pain and autonomic dysreflexia (ACP2 +)
IM (ACP1, ACP2, CCP) >70 years 25mcg Repeat at up to 50mcg every 5 min Total max dose 100mcg 70 years 25mcg Repeat at up to 25mcg every 5 min Total max dose 100mcg
Glucagon
Indications
Symptomatic hypoglycaemia
Glucagon
Contraindications
KSAR or hypersensitivity
Glucagon
Precautions and side effects
Nil
Glucagon
Onset, Duration and Half-life
Onset: 4-7 min
Duration: variable
Half-life: 3-6 min
Glucagon
Dosages
IM (ACP1, ACP2, CCP)
1mg single dose
Reconstitute with 1mL water in 3ml syringe